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Bulimia nervosa involves binge eating followed by compensatory behaviors. This review covers its epidemiology, risk factors, complications, and management, including the new DSM-5 diagnosis of purging disorder.

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Area of Science:

  • Psychiatry
  • Eating Disorders
  • Clinical Psychology

Background:

  • Bulimia nervosa (BN) was first described in 1979.
  • Characterization evolved with the DSM-5 in 2013.
  • BN involves binge eating and compensatory behaviors.

Purpose of the Study:

  • Review epidemiology and risk factors of BN.
  • Identify medical complications and psychiatric comorbidities.
  • Discuss patient evaluation and management strategies.

Main Methods:

  • Literature review of bulimia nervosa.
  • Analysis of diagnostic criteria evolution (DSM-5).
  • Synthesis of current understanding of BN.

Main Results:

  • Bulimia nervosa epidemiology and risk factors identified.
  • Associated medical and psychiatric comorbidities detailed.
  • Purging disorder, a new DSM-5 diagnosis, is discussed.

Conclusions:

  • Comprehensive understanding of bulimia nervosa is crucial.
  • Multifaceted management addressing physical, psychological, and social needs is essential.
  • Recognition of purging disorder aids in diagnosis and treatment.